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Republic of the Philippines) Done in the City of Baguio) s.s.

AFFIDAVIT OF SELF-ADJUDICATION WITH DEED OF ABSOLUTE SALE I, FLORINA S. COCOY (VENDOR), of legal age, single, Filipino citizen, with residence and postal address at Poblacion, Atok, Benguet, Philippines after having been duly sworn to in accordance with law hereby depose and states: 1. That I am the only surviving sister of the late ELPEDIO S. COCOY (Sometimes his name is spelled as ELPIDIO) who died intestate on October 25, 2004 at Poblacion, Atok, Benguet (copy of his death certificate is hereto attached as Annex A and made an integral part hereof), who left a certain parcel of land covered and embraced by ASSESSMENT OF REAL PROPERTY (ARP) No. 99-001-02769, with an area of ELEVEN THOUSAND SIX HUNDRED (11, 600) SQUARE METERS, more or less, with ASSESSED VALUE OF SEVEN THOUSAND TWO HUNDRED THIRTY PESOS (P7, 230.00) and ADJUSTED MARKET VALUE of EIGHTEEN THOUSAND AND EIGHTY PESOS (P18, 080.00), and more particularly described as follows: ASSESSMENT OF REAL PROPERTY (ARP) No. 99-001-02769 North: Lots 008 & 019 South: Section 57 East: Lost 019 & 021 Section 57 & 58 (For complete technical description a Copy of ARP No. 99-001-02769 is hereto attached and marked as Annex B) 2. That at the time of his death, said decedent left no will and obligation; 3. That it is to the best of my interest I hereto adjudicate unto myself the above-mentioned parcel of land; BY WAY OF DEED OF ABSOLUTE SALE 4. That for in consideration of the total sum of TWENTY FIVE THOUSAND PESOS (Php. 25, 000.00), Philippine Currency, receipt of which is hereby acknowledged by GREGORIO J. LUIS (VENDEE), of legal age, single, Filipino citizen, and a resident of Poblacion, Atok, Benguet, I hereby SELL, TRANSFER and CONVEY, in a manner absolute and irrevocable, unto the hereunder named GREGORIO J. LUIS, his heirs and assigns, the above-described parcel free from any liens or encumbrances; 5. That I hereby warrant ownership as evidenced by the valid Assessment of Real Property to and peaceful possession of the abovedescribed parcel of land herein sold and conveyed unto GREGORIO J.

LUIS and further warrant that said Tax Declaration of Real Property is free from all liens and encumbrances whatsoever; 6. That the above-described property not having been registered under the Spanish Mortgage Law nor under Act 496, I and Gregorio J. Luis agreed to register this instrument under the Revised Administrative Act No. 3344; 7. That the above described property is not tenanted nor devoted to the production of rice and/or corn in whole or in part as of October 21, 1972 and/or on the date of registration hereof; 8. That this instrument is published in a local newspaper of general circulation for three (3) consecutive weeks in compliance with its proper and due registration; 9. I am executing this affidavit to attest to the veracity and truthfulness of the foregoing statements and for all legal intents and purposes it may serve. IN WITNESS WHEREOF, I have hereunto affixed my signature this 3rd day of December, 2012 at Baguio City, Philippines.

FLORINA S. COCOY Affiant/VENDOR CTC No. 33119851 ISSUED On. 12-03-12 ISSUED At. Atok, Benguet

GREGORIO J. LUIS VENDEE CTC No. 02196630 ISSUED On. 1-5-12 ISSUED At. Atok, Benguet BIR TIN No. 9220225-942 __________________

WITNESSES: __________________
Republic of the Philippines) Done: City of Baguio ) S.S. ACKNOWLEDGEMENT

Before me a notary public for and in the City of Baguio, this 3rd day of December, 2012, personally came and appeared the above-named parties and presented to me their CTC and BIR TIN Card respectively, an integrally complete instrument for identification and she acknowledged to me that the same is her own free act and deed. I further certify that the foregoing instrument, consisting of Two (2) pages, including the acknowledgment, relate to AFFIDAVIT OF SELF-ADJUDICATION WITH DEED OF ABSOLUTE SALE of one parcel of land, signed by the affiant/vendor thereto and her witnesses, including the Vendee. WITNESS MY HAND AND NOTARIAL SEAL.

Doc. No. 40; Page No. 09; Book No. 4; Series of 2012.

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